NPI | 1588993299 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN MARR Assistant Administrator 831-769-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A41685) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A41685) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A41685) | |
Enumeration Date | 2009-12-09 |
Last Update Date | 2010-02-16 |