| NPI | 1417405234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ANDREW KLUDT President 209-870-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A110013) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |