| NPI | 1568837060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRICE WILLIAM BLATZ Chief Executive 408-440-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |