| NPI | 1326191958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA GLUCK Medical Director/Board Chairman 805-232-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 050000270) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-02-01 |