| NPI | 1235155730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI B NGUYEN Administrator 408-515-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 070000612) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-11-07 |