| NPI | 1861515199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PACIFICO CAMPANA SANTOS Owner 408-251-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA a29516) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |