| NPI | 1285784132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D. BRANTNER President 805-653-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 050000359) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-07-14 |