NPI | 1891732202 |
---|---|
Entity Type | Organization |
Authorized Contact | BURTON REDD Medical Director/Partner 559-635-9556 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 120000603) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2020-08-22 |