| NPI | 1780601401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIO LEAVITT GIZZI Medical Director 510-428-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A549520) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |