| NPI | 1134496011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LEE Administrator 805-643-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G57770) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |