| NPI | 1205811122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA KAY MCCULLEY Owner/CEO 805-584-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: CA NP 429440) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: CA Midwife #134) |
| 261QB0400X Clinic/Center, Birthing (Licence: CA NP 429440) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: CA Furnishing 9578) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA Furnishing 9578) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA Furnishing 9578) | |
| 333600000X Pharmacy (Licence: CA DEA# MM0542476) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP 429440) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |