| NPI | 1982709572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J VALLARINE President 209-345-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 550000219) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-10-17 |