| NPI | 1326093717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MACK Area VP 925-674-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 550000123) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-06-18 |