| NPI | 1962565556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN MATHEWS Owner 650-450-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-06-02 |