Organization
CYPRESS AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS INNA GRIBANOVA (MANAGER)
(805) 782-8132
Entity
Organization
Contact information
Practice address
1300 E CYPRESS ST, STE E1, SANTA MARIA, CA 93454-4736
(805) 782-8132
(805) 597-8350
Mailing address
PO BOX 5435, SAN LUIS OBISPO, CA 93403-5435
(805) 782-8132
(805) 597-8350
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
10/25/2007
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