| NPI | 1194965038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILSON Managing Directo 831-372-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000547) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |