| NPI | 1205859550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Cycle Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 20821501) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA MD052930L) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-12-03 |