| NPI | 1346720620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAM KAUR KHALSA Administrator 805-680-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G87526) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |