| NPI | 1063735421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA C CORDERO Office Manager 805-922-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A67917) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |