| NPI | 1245327493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH RICH Administrator 510-547-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 140000317) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |