# CYPRESS AMBULATORY SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235132481
- **Authorized official:** MISS INNA GRIBANOVA (MANAGER)
- **Authorized official phone:** (805) 782-8132

## Contact information

- **Practice address:** 1300 E CYPRESS ST, STE E1, SANTA MARIA, CA 93454-4736
- **Practice address phone:** (805) 782-8132
- **Practice address fax:** (805) 597-8350
- **Mailing address:** PO BOX 5435, SAN LUIS OBISPO, CA 93403-5435
- **Mailing address phone:** (805) 782-8132
- **Mailing address fax:** (805) 597-8350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 10/25/2007