| NPI | 1891201679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADMILA THOMPSON Manager, Credentialing/ Enrollment 415-225-4468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2025-04-17 |