| NPI | 1093433773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT HOFMOCKEL COO 805-400-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |