NPI | 1396700753 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJA BREWER Director Of Operations 805-541-1342 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 050000462) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2007-07-16 |