Organization
ENDOSCOPY SURGERY CENTER OF SANTA MARIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE F MIZE M.D. (MEDICAL DIRECTOR)
(805) 614-5220
Entity
Organization
Contact information
Practice address
116 S PALISADE DR, SUITE 110, SANTA MARIA, CA 93454-8904
(805) 614-5220
(805) 614-5221
Mailing address
116 S PALISADE DR, SUITE 110, SANTA MARIA, CA 93454-8904
(805) 614-5220
(805) 614-5221
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01426G
—
CA
Enumeration date
09/20/2006
Last updated
08/22/2020
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