| NPI | 1841769080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUSHPA GURSAHANI Physician 510-797-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |