| NPI | 1629730395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN VIALE Managing Member 408-828-5973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |