NPI | 1023131117 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD P. DHANES President 805-495-4527 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA g19135) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-09-10 |