| NPI | 1821104100 |
|---|---|
| Doing Business As | BERKELEY FAMILY PRACTICE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LOREN PALACIOS Administrator 510-841-1647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-12-06 |