NPI | 1356490288 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE F KARDASHIAN Owner 559-435-0337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G43958) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2020-08-22 |