| NPI | 1770906141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B STEVENS Owner 559-625-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 1200629) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |