| NPI | 1457397390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MEDEIROS Business Office Supervisor 209-576-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 030000303) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |