| NPI | 1417992835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIONNUALA MCELLIGOTT Administrator 650-755-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 220000387) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |