| NPI | 1124439419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMEL E VELASTEGUI Manager/Member 916-400-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |