| NPI | 1225123227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE RUELAZ Clinical Director 559-447-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA AS1507) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-11-19 |