| NPI | 1023370251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LEE ROTH Regional Director 408-761-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |