| NPI | 1457707473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GARY TARG Owner 650-814-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP32185) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA MGA56) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |