| NPI | 1972038818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN LEA C RN A 805-474-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 57590) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-12-20 |