| 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 |