| NPI | 1912833468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS K SVENSSON Owner 650-504-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-07-06 |