| NPI | 1043550874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY DAVID DYNE President 805-965-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A43164) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |