| NPI | 1801230719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G KOLDER President 805-484-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA A115790) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-03-13 |