| NPI | 1124142930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P. ILVENTO Partner 805-569-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA C40940) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G66301) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |