NPI | 1154440972 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC J KAHLE Corporate Officer 707-823-7628 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 010000189) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2012-01-27 |