| NPI | 1225361629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HORACE JERVIS Medical Director 925-937-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA G8005) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |