| NPI | 1710060751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN NGA NGUYEN Administrator 408-988-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000076) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-04-21 |