| NPI | 1649052903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HUFFMAN CEO 707-694-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-07-18 |