Organization
SURGICAL SPECIALISTS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BOSSHARDT MD (PRESIDENT)
(805) 348-3700
Entity
Organization
Contact information
Practice address
316 S STRATFORD AVE STE C, SANTA MARIA, CA 93454-5908
(805) 348-3700
(805) 348-3730
Mailing address
PO BOX 1206, GOLETA, CA 93116-1206
(805) 348-3700
(805) 348-3730
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A64528
CA
Other
Enumeration date
07/01/2006
Last updated
05/21/2021
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