| NPI | 1205024130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROBERT PHELPS Medical Director 805-388-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A31705) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-06-17 |