# ABROMS DOUGHERTY VISION ASC LLC

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

## Provider details

- **NPI number:** 1790384303
- **Authorized official:** CLIFTON BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 4472 BROAD ST STE 150, SAN LUIS OBISPO, CA 93401-7990
- **Practice address phone:** (805) 548-1051
- **Mailing address:** 4472 BROAD ST STE 150, SAN LUIS OBISPO, CA 93401-7990
- **Mailing address phone:** (805) 548-1051

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2020
- **Last updated:** 05/12/2026