NPI | 1649210212 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON MARIE SMITH Financial Administrator 415-885-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 070000607) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-06-08 |
Last Update Date | 2022-07-21 |