| NPI | 1902964174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAYNE CLARK Administrator 707-546-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 110000344) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-01-17 |