| NPI | 1912018706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ARAGON Insurance Coordinator 805-654-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-09-20 |