| NPI | 1932102498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BANISTER Administrator 530-225-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 230000354) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |