| NPI | 1063085678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA LYN WESTHOFF-PANKRATZ President/Owner 805-667-3909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |