|Entity Type||Healthcare Provider|
|Active||Over 3 years ago|
|1149 FERNWOOD DR
MILLBRAE CA, 94030-1011, US
|27206 CALAROGA AVE
HAYWARD CA, 94545-4300, US
|Remove 1174955587 NPI Number|
According to our database, Cccma NPI is 1174955587, taxonomy code is 363LF0000X and license number is 22677, license state is located at California. Cccma physically located at 1149 Fernwood Dr, Millbrae CA, 94030-1011. NPI Number 1033115704 has the healthcare provider type.
1174955587 NPI number is provided on an as is basis without warranty of any kind. 1174955587 is maintained by the National Plan & Provider Enumeration System. The contents of Cccma are for informational purposes only.