| NPI | 1215930078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY HALL Chief Administrative Officer 415-461-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 110000487) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2021-03-10 |