| NPI | 1457357485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD LEBENS President 805-434-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A70273) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-07-13 |