| NPI | 1942407283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BUCKWALTER Physician Owner 925-825-8181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A63401) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2015-09-01 |