NPI | 1225065170 |
---|---|
Doing Business As | LOMA VISTA FAMILY PRACTICE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | TAREN P DAVIS Business Manager 805-648-3316 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G51543) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2021-06-14 |