| NPI | 1942655998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LAM Dr. 415-385-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: CA 14825) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-05-13 |