| NPI | 1063565604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F DODGE President 805-641-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G43925) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G40594) |
| 207Q00000X Family Medicine (Licence: CA G26650) | |
| 207Q00000X Family Medicine (Licence: CA G46052) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |