| NPI | 1336976711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. OTIS STEPHEN Chief Executive Officer 805-738-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-12-12 |