| NPI | 1528937174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREN CESSNA Credentialing Specialist 805-312-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |