| NPI | 1134669971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN VILLAREAL CFO 805-823-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |