| NPI | 1124353057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M GERRITS Physician 805-494-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G55503) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2015-03-10 |