| NPI | 1780988972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA LALCHANDANI Nurse Practitioner 510-703-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 19815) |
| Enumeration Date | 2011-01-02 |
| Last Update Date | 2011-01-02 |