| NPI | 1952466716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA COOPER Executive Director 650-961-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 220000) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |