| NPI | 1770259574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROHIT PATIL Manager 408-348-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-02-17 |