| NPI | 1306156260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA SUSANA WIESE President 805-557-0452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A91425) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2012-07-25 |