| NPI | 1033163621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA SOSA Practice Manager 805-485-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A46608) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-08-16 |