| NPI | 1912453358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE KOURY Administrative VP Of Operations 510-350-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |