| NPI | 1871868562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NORMAN Medical Director 408-283-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 20A12161) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |