| NPI | 1033596911 |
|---|---|
| Doing Business As | LAUREL VISTA |
| Entity Type | Organization |
| Authorized Contact | JULIA CLAIRE EDGCOMB Director/COO Clinic Services Div. 831-796-1386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-05-01 |