| NPI | 1720663768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M. REED Director Of Legal Affairs 916-441-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-06-11 |