| NPI | 1881181493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL LAM Owner 650-538-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A113533) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |