NPI | 1639267388 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEANN C CULVER Office Manager 559-625-9601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 040000258) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |