COUNTY OF SAN MATEO

NPI # 

Practice Address:

795 Willow Rd

Menlo Park, CA, 94025-2539

Practice Phone:

650-599-3890

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Medical Specialty

Taxonomy Code:

261QM2500X