| NPI | 1972677755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER K KHAKMAHD Medical Director 510-251-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |