| NPI | 1932593399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BUNCKE Clinic Director/ 415-565-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA g49617) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-05-11 |