| NPI | 1780134791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGILENY ALOBA Clinic Director 650-324-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 10330-M) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |