Organization
CARRILLO SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN P MOELLEKEN M.D. (M.D.)
(805) 563-3307
Entity
Organization
Contact information
Practice address
401 E CARRILLO ST, SANTA BARBARA, CA 93101-1460
(805) 563-3307
(805) 563-3827
Mailing address
PO BOX 5457, SAN LUIS OBISPO, CA 93403-5457
(805) 963-4785
(805) 957-1067
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G68712
CA
Other
Enumeration date
12/28/2006
Last updated
06/17/2022
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