| NPI | 1235340878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARLENE M GRABER Division Manager 805-781-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 400003BN) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-08-10 |