| NPI | 1043623960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WIKHOLM Owner And Physician 805-614-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA PA13405) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |