| NPI | 1588064182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE GREEN Billing Manager 805-402-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C39437) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |