| NPI | 1144497264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BRICCA President 916-772-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A70396) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2009-01-21 |