| NPI | 1619525912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH KUMAR DUBEY Managing Partner 209-918-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-02-28 |