NPI | 1972057990 |
---|---|
Entity Type | Organization |
Authorized Contact | GIANNA PAPA Credentialing Manager 415-446-1733 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208000000X Pediatrics |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2016-08-08 |
Last Update Date | 2024-01-16 |