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 |