| NPI | 1487042859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOSRAT KHAJAVI President/ Sole Owner 510-556-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-05-22 |