NPI | 1962789834 |
---|---|
Entity Type | Organization |
Authorized Contact | THEOPHILE KOURY VP O 510-350-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2011-11-07 |
Last Update Date | 2020-04-01 |