| 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 |