| NPI | 1811743131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES MCDONALD CFO 925-924-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |