| NPI | 1619970472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS ELAINE OWENS Administrator 831-476-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 70000225) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-09-15 |