| NPI | 1306094552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R FREED Surgeon/Owner 530-885-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G072375) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |