| NPI | 1043586688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HOPE BARKER Physician Assistant 805-898-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CA PA15071) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2015-11-10 |