| NPI | 1972829018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK SIEGEL President 408-358-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G317620) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |