| NPI | 1649500950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LEE ROTH VP Of Clinical Operations 408-988-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2024-11-26 |