NPI | 1316530132 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW HAMILTON LEWIS Owner 831-239-4331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
261QE0002X Clinic/Center, Emergency Care | |
Enumeration Date | 2021-02-12 |
Last Update Date | 2022-02-16 |