| NPI | 1508269978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MOELLEKEN President/CEO 805-563-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |