| NPI | 1760859334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUSAI AZIZ President 559-735-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A97987) |
| Enumeration Date | 2015-08-29 |
| Last Update Date | 2023-01-13 |