| NPI | 1801822739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDY ELSAKR Medical Director 209-338-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000147) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-12-04 |