| NPI | 1831510536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYICHUKWU NWOBODO Owner 510-427-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0052107) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2019-04-17 |