Organization
MONTEREY PENINSULA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WILSON (MANAGING DIRECTO)
(831) 372-2169
Entity
Organization
Contact information
Practice address
966 CASS ST STE 150, MONTEREY, CA 93940-4522
(831) 372-5814
Mailing address
966 CASS ST STE 150, MONTEREY, CA 93940-4522
(831) 372-5814
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000547
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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