NPI | 1871009761 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA JOW Lead Medical Director 415-408-7557 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA 31737) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2018-08-07 |