| NPI | 1821047499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MCEWEN Administrator 530-244-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 05C0001404) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |