| NPI | 1841492543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LIDVIN SIMPSON President/CEO 805-620-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 21784) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-06-09 |