| NPI | 1972250694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA CELI Chief Administrative Officer 650-722-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2025-04-30 |