| NPI | 1104621648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RAMSAY WALTERS Owner 805-485-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-06-30 |