| NPI | 1922638600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SANTUCCI Owner, Authorized Official 408-871-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-07-20 |