| NPI | 1487719894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BLIFELD Owner 805-736-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A43842) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |