| NPI | 1043254063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD HAGELE President 530-272-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 550000155) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-12-27 |