NPI | 1174885610 |
---|---|
Entity Type | Organization |
Authorized Contact | ALMA CASTILLO Clinic Manager 831-761-7225 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A41986) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |