| NPI | 1861626616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN HASSANI Redident Physician 707-416-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |