| NPI | 1255651113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH R GLADDEN President 805-520-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A85781) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 25341) |
| 111N00000X Chiropractor (Licence: CA 27915) | |
| 363A00000X Physician Assistant (Licence: CA 22683) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-03-16 |