Organization · Type 2 NPI
Sierra Vista Medical Pavilion Ambulatory Surgery Suite
Ambulatory Surgical Clinic/Center · San Luis Obispo, CA
NPI number
1952443046
Active
Practice location
77 Casa Street, Ste 203
San Luis Obispo, CA 93405
Fax (805) 544-4913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | G42294 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1952443046
Sierra Vista Medical Pavilion Ambulatory Surgery Suite's National Provider Identifier is 1952443046, issued on Feb 13, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 24, 2008.