| NPI | 1114921541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY HEATON CEO, Sscd 916-566-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 030000780) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2024-04-17 |