| NPI | 1144309063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILEY M ELICK Owner Director President 559-582-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-10-10 |