| NPI | 1952302895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY HEATON CEO 916-566-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 140000348) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2024-05-08 |