| NPI | 1962074302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOCHUAN CHEN Md 510-403-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-03-07 |