| NPI | 1053307454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L MACK Regional Vice President 925-947-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 140000344) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |