NPI | 1881105005 |
---|---|
Entity Type | Organization |
Authorized Contact | GIANNA PAPA Credentialing Manager 415-446-1733 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2017-10-15 |
Last Update Date | 2023-12-06 |