| NPI | 1992098115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE REIN CFO 415-476-4003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 220000091) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 220000091) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA 220000091) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2025-04-16 |