Valhalla Surgery Center, LLC
NPI #1811652035 in San Luis Obispo, California
Provider Information
- NPI Number
- 1811652035
- Entity Type
- Organization
- Organization Name
- Valhalla Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 2, 2021
- Last Updated
- Dec 14, 2021
Practice Location
- Address
- 4472 BROAD ST STE 150
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-7990
- Phone
- (805) 364-8450
Authorized Official
- Name
- RALPH MOZINGO
- Title
- AUTHORIZED OFFICIAL
- Phone
- (805) 563-0363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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