| NPI | 1952437865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LEE Administrator 805-643-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 050000315) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |