| NPI | 1346756178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO BIMBELA Provider 805-284-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 15951) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2021-05-24 |