| NPI | 1518930270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BOSCHEE Office Manager 805-351-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-11-09 |