| NPI | 1114466836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MOSSER Medical Director 415-516-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 201618110147) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |