| NPI | 1790578466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GUETHLER Practice Manager 415-340-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-09-04 |