| NPI | 1871998245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDIS SHAHRIVAR President 408-729-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A49985) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |