| NPI | 1932709532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JONATHAN MASUDA FREY CEO/Owner 408-309-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |