| NPI | 1346374014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD NIKCHEVICH CEO 805-495-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000254) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-04-25 |