| NPI | 1104850312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D WILSON Managing Director 831-372-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 070000398) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-01-20 |