| NPI | 1316019060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIN R SHARMA CEO 831-758-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A38663) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-03-12 |