| NPI | 1205630852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BURBOA CEO 805-607-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 111NN1001X Chiropractor, Nutrition | |
| 207K00000X Allergy & Immunology | |
| 207KA0200X Allergy & Immunology, Allergy | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-10-21 |