| NPI | 1841951464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MAREK Member 831-588-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208800000X Urology | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-04-19 |