| NPI | 1821449430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JEANNE LAIEWSKI Accounting Manager 916-570-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A62812) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-03-20 |