| NPI | 1942466214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A AYALA Owner/Operator 650-368-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A060697) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |