| NPI | 1386354280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIPU KHAN Owner 805-652-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |