| NPI | 1366733578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTIN KRIVITSKY Corporate Officer 916-412-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |