| NPI | 1063439149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY C MORELAND Vice President / Nurse Practitioner 805-349-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G045273) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |