| NPI | 1003814229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY BERJ MATOSSIAN Owner 707-462-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 1100514) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-09-23 |