| NPI | 1104392885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA C RITCHIE Manager CEO 805-547-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |