| NPI | 1376592014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROSS Administrator 916-781-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy (Licence: CA 030000786) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-02-05 |