| NPI | 1982129961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD G. JAN President 916-288-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G22975) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |