| NPI | 1093136384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD MICHAEL GROSS Medical Director 805-898-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2016-06-06 |