| NPI | 1619347135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKAS GARG Medical Director/ Owner 206-225-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 261QA1903X) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2015-09-26 |