| NPI | 1518064948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE P LIMON Program Manager 805-781-4021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA G46138) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-07-05 |