| NPI | 1417478702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA CHAVEZ Insurance Contractor 805-652-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A130179) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |