| NPI | 1619411519 |
|---|---|
| Doing Business As | OCULOFACIAL PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL B LENSINK President 530-229-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G599260) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-07-21 |