| NPI | 1023191822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI ANN CARLSON Business Office Manager 805-569-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 050000560) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-06-30 |