NPI | 1477675841 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE COMMONS Medical Director 650-328-4571 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 220000441) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |