| NPI | 1588048151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PIMIENTA CEO 805-937-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA OPT6099TPG) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |