| NPI | 1831369842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABEEB M AWAIS Manager 408-844-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA G84465) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |