| NPI | 1750308763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D FERRO Medical Director 805-474-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 050000571) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-10-26 |