NPI | 1255062691 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY BARTH Medical Director 707-955-1120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2022-06-17 |
Last Update Date | 2023-08-22 |