| NPI | 1538775267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LEE ROTH VP Of Clinical Operations 408-761-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-03-11 |