| NPI | 1871806711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE KARISHEV President 510-845-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A 105280) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2015-06-17 |