| NPI | 1932309341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DELACRUZ Clinical Administrator 559-903-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |