| NPI | 1356511398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY WEISZ President 805-493-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA g55882) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA a80637) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |