| 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 |