| NPI | 1710237615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FORD GILBERT Attorney 916-730-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: LA C12615) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: LA C12615) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |