NPI | 1689836504 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA L GOSS COO/Practice Administrator 805-782-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G44009) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
363AM0700X Physician Assistant, Medical (Licence: CA PA23186) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G58530) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A99253) | |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA G69997) | |
Enumeration Date | 2008-07-01 |
Last Update Date | 2022-07-09 |