| NPI | 1548940216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE RAZEGHI Director 805-419-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |