| NPI | 1821214834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINIFU SADIFU-CARR Lead Clinician 650-367-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA PA12155) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |