| NPI | 1235187972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WASEM Nurse Administrator 559-625-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 120000663) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-06-23 |