| NPI | 1417046616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CATHERINE WILSON President 805-688-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G80126) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-03-13 |