| NPI | 1902089543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT H NEWMAN Director Of Clinical Training 510-841-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 140000166) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2017-03-24 |