| NPI | 1881611507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BURDUSIS Manager Of Information Systems 510-266-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-11 |