| NPI | 1881999217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT LE Physician 408-835-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A8549) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8549) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 20A8549) | |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2011-01-16 |