| NPI | 1811637242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THERESE JACOBSON Chief Medical Officer 415-663-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2023-01-17 |