| NPI | 1508818634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE J GREEN Administrator 831-375-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 070000315) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-03-27 |