| NPI | 1851432256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO A SOARES Director 805-967-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A32832) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-16 |