| NPI | 1417135716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LOUIS CASSORLA President 831-462-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA 13971) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-04-23 |