NPI | 1770700593 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREE BUCKLEY CFO 805-497-3736 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000877) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |