| NPI | 1598312001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BAERWALD Management 805-357-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 261QG0250X Clinic/Center, Genetics | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-08-08 |