| NPI | 1962040089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARANEH RAZAVI, A PROFESSIONAL CORPORATION Provider 650-325-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |