NPI | 1235347816 |
---|---|
Other Name | SAN BENITO COUNTY FFS MIXED SPECIALTY |
Entity Type | Organization |
Authorized Contact | ALAN YAMAMOTO Director 831-636-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-08-22 |