| NPI | 1295739134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE BUKOWIEC Medical Billing Representative 916-492-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA CLN 670) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |