| NPI | 1437537693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L GRASSO Practice Manager 805-494-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G25198) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |