| NPI | 1255309803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BRUNONE Executive Director 916-929-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 26030000116) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2017-02-01 |