| NPI | 1083711568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTSANA PANDYA Asc Supervisor 559-788-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000077) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2013-01-04 |