NPI | 1316174824 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBI HELENA SILJANDER President 831-375-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A106269) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A106269) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2009-09-01 |