| NPI | 1477376028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH SULTANA HASAN Authorized Official 805-272-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-02-14 |