| NPI | 1922197987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GREGORY CHERNOFF Owner 707-544-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA A51787) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |