| NPI | 1649296807 |
|---|---|
| Other Name | SANSUM CLINIC ASC |
| Entity Type | Organization |
| Authorized Contact | CHAD HINE Chief Financial Officer 805-681-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-05-14 |