| NPI | 1770859118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE CAMPOSANO CALOPIZ Physician 650-867-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A92245) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |