| NPI | 1598809758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CREIGHTON Bookkeeping Manager 925-754-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 140000483) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |