Organization · Type 2 NPI
Dmat Ca-6
Public Health or Welfare Agency · Palo Alto, CA
NPI number
1629436134
Active
Practice location
520 Loop Rd, Bldg 4, A-137
Palo Alto, CA 94304-1207
Fax (650) 412-1815
Mailing address
101 Dale Ave
San Carlos, CA 94070-2940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | G64161 (CA) |
| Voluntary or Charitable Agency | 251V00000X | G64161 (CA) |
Public Health or Welfare Agency: Definition to come...
About NPI 1629436134
Dmat Ca-6's National Provider Identifier is 1629436134, issued on Jan 29, 2016. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Palo Alto, CA. The record was last updated on Aug 27, 2016.