| NPI | 1902099765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LARMORE Owner 925-277-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA C031854) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |