| NPI | 1073693123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WINTERMUTE Administrator 805-644-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 050000581) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-04-28 |