| NPI | 1265710883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY JOBE CEO 831-212-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA G80211) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA G80211) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-11-21 |