| NPI | 1790995710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN G YOUNG Owner 510-748-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G37084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G37084) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-05-19 |