| NPI | 1225192743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACK D TOYAMA Secretary 805-988-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: CA G43187) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-01-26 |