| NPI | 1912258997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO GUTIERREZ Registered Dietitian 408-821-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA 1038721) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2021-04-14 |