| NPI | 1619011582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ELAINE ALEMAN Administrator 559-450-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 040000555) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |