NPI | 1205983285 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW L ROMANS Medical Director 831-758-2746 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 05-1045) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |