| NPI | 1326374844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRIAR MABOURAKH Medical Director 916-984-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 10176) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |