| NPI | 1023262417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAL BAGWAT President 650-322-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 3030) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |