| NPI | 1033579784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA P TORRES CEO 805-604-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA MFT 42526) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2022-03-22 |