| NPI | 1871826925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B. GATES CFO 510-450-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 220000097) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 550000230) |
| 261Q00000X Clinic/Center (Licence: CA 550000228) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2022-01-20 |