Sebastopol Asc, L.p.
NPI #1154440972 in Sebastopol, California
Provider Information
- NPI Number
- 1154440972
- Entity Type
- Organization
- Organization Name
- Sebastopol Asc, L.p.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jan 27, 2012
Practice Location
- Address
- 6880 PALM AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4270
- Phone
- (707) 823-7628
Authorized Official
- Name
- DR. ERIC J KAHLE, M.D.
- Title
- CORPORATE OFFICER
- Phone
- (707) 823-7628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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