NPI | 1164974655 |
---|---|
Doing Business As | COASTAL SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | RALPH D MOZINGO Partner 805-563-0363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2016-10-31 |
Last Update Date | 2023-12-13 |