| NPI | 1073305892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ALBERTO DIAZ COOPER Fnp 805-790-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-07-07 |