| NPI | 1134291073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLIN G. SCHRIOCK Administrator 916-929-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G48021) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-06-14 |