| NPI | 1891247847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WONG Medical Director 650-257-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000275) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |