| 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 |