| NPI | 1154612570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL TORRES Md 805-963-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A110806) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |