Organization
SURGICAL SPECIALTIES OF ARROYO GRANDE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D FERRO M.D. (MEDICAL DIRECTOR)
(805) 474-6383
Entity
Organization
Contact information
Practice address
860 OAK PARK BLVD, 102, ARROYO GRANDE, CA 93420-1800
(805) 474-6383
(805) 474-6387
Mailing address
860 OAK PARK BLVD, 102, ARROYO GRANDE, CA 93420-1800
(805) 474-6383
(805) 474-6387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050000571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000571
LICENSE
CA
Enumeration date
07/16/2006
Last updated
10/26/2017
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