| NPI | 1851848253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAU Manager & Administrator 510-693-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2023-11-08 |