| NPI | 1043249972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI HICKLIN Administrator 925-462-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 140000491) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2012-05-09 |