NPI | 1992002083 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAN SERNA President 916-406-0087 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2011-02-25 |
Last Update Date | 2022-01-14 |