| NPI | 1174597819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J IMPERATO Medical Director 916-423-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 030000773) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2012-12-05 |