| NPI | 1497320618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M VILLEGAS Practice Manager 415-230-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-07-12 |