| NPI | 1225096498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUTRA President 209-223-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 030000778) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-04-20 |