| 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 |