| NPI | 1962456558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM L MOTSIFF CFO 408-795-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 120000202) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-07-25 |