| NPI | 1568797967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE ALLISON HABERMEHL President 805-603-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G60299) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |