| NPI | 1881799583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE VALERIANO-DER Office Administrator 510-451-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G9021) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-05-15 |