| NPI | 1679738835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD T GODBOLD President 805-563-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2008-07-26 |