| NPI | 1588745921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JELLINEK Medical Director 408-356-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 05C0001148) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-16 |