| NPI | 1972625986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ERWIN BEAN Owner 510-530-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G53663) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |