| NPI | 1841579323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM FORTANI President 925-202-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA A 82319) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2012-03-05 |