| NPI | 1134433055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY T PINKERNELL Sole Owner 805-684-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA G3337) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |