| NPI | 1023692969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYANN DEGRAFF Vice President Of Operations 925-200-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-13 |