| NPI | 1265698518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMEGA LAVON EDWARDS President 805-389-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A103607) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2012-11-05 |