| NPI | 1104998558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Cycle Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-02-28 |