| NPI | 1144325838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GEORGE Administrator 209-536-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 030000804) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-01-30 |