| NPI | 1093781189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONELLA JENKINS CEO/CFO 805-542-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A54017) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-12-10 |