| NPI | 1144648015 |
|---|---|
| Other Name | FOOTHILL SURGERY CENTER AT SANSUM CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHAD HINE Chief Financial Officer 805-681-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |