| NPI | 1841972635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA R MAYS Chief Operating Officer 510-457-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |