| NPI | 1972996650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN FARBER Administrator And Clinician 510-763-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA MFC20018) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |