| NPI | 1073817326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ANDREW KANEN Owner/Sole Proprietor 805-569-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G66159) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2022-11-14 |