| NPI | 1093771073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WHITNEY Finance Officer 209-339-7477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 030000345) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-01-06 |