| NPI | 1760169007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHALEKSON Medical Director 805-434-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-07-01 |