| NPI | 1053919332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KINGSLEY Owner 805-608-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-01-31 |