| NPI | 1427223544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS S. KASPRZYK Administrator 209-602-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G58822) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |