Organization
GREGORY S. KELLER MD INC.
Active
Other names
South Coast Surgi Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S KELLER M.D. (PRESIDENT)
(805) 456-9932
Entity
Organization
Contact information
Practice address
221 W PUEBLO ST STE A, SANTA BARBARA, CA 93105-6809
(805) 563-7756
(805) 687-0724
Mailing address
221 W PUEBLO ST STE A, SANTA BARBARA, CA 93105-6809
(805) 563-7756
(805) 687-0724
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G22919
CA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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