| NPI | 1952669533 |
|---|---|
| Former Legal Business Name | TRIDENT MOUNTAIN LP |
| Entity Type | Organization |
| Authorized Contact | WINDY HE Practice Manger 650-321-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2017-01-23 |