| NPI | 1114216892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CAMPBELL Administrator 805-557-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A85646) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A85646) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |