| NPI | 1902827892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE YEUNG Officer 510-465-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-05-28 |