| 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 |