| NPI | 1730514027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BARELA Biller 559-435-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 20A10743) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-02-21 |