| NPI | 1194100685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEE Owner 559-702-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G84634) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2020-06-30 |