| NPI | 1588803373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center Endoscopy (Licence: CA 10022) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-08-04 |