| NPI | 1922348333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S KELLER President 805-456-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA G22919) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |