| NPI | 1306375837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILLIS Practice Administrator 805-258-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |