| NPI | 1912345539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAM KOHAN Executive Director 415-468-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN265461) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-10-03 |