| NPI | 1598953358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER THOMAS M.D. 805-527-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA A34536) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2019-12-17 |