NPI | 1003231119 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WATSON Medical Director 805-497-8411 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 1401) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-02-26 |