| NPI | 1104865518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICK ZDEBLICK CEO 805-652-5011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| 261QV0200X Clinic/Center VA | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-05-19 |