| NPI | 1922010487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE WACHT Owner 510-444-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A021202) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A021202) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-09-29 |