Organization · Type 2 NPI
Pacific Restorative Center
Ambulatory Surgical Clinic/Center · Petaluma, CA
NPI number
1083080717
Active
Practice location
1456 Professional Drive, Suite 404
Petaluma, CA 94954
Fax (707) 843-3485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Petaluma
About NPI 1083080717
Pacific Restorative Center's National Provider Identifier is 1083080717, issued on Aug 17, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Petaluma, CA. The record was last updated on May 12, 2017.