| NPI | 1871355818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ROTHMAN Sole Member 415-205-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-29 |