| NPI | 1922124866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL NEYHART Chief Executive Officer 415-476-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 140000015) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-10-30 |