Organization
COAST PRESIDIO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S KELLER M.D. (PRESIDENT)
(805) 687-6408
Entity
Organization
Contact information
Practice address
225 W PUEBLO ST, SUITE B, SANTA BARBARA, CA 93105-3804
(805) 682-4532
(805) 687-0724
Mailing address
225 W PUEBLO ST, SUITE B, SANTA BARBARA, CA 93105-3804
(805) 682-4532
(805) 687-0724
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G22919
CA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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