| NPI | 1275714917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE L FUSSELL President 805-983-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A055383) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2011-01-14 |