| NPI | 1972045144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAPA GIANNA Credentialing Manager 415-446-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 208000000X Pediatrics | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2023-12-06 |