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 |