| NPI | 1063423077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE BADKE Physician 831-424-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A55052) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A55096) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-07-25 |