| NPI | 1518374354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARANI SHIRANTHANA NADARAJA CEO 510-432-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A105932) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |