| NPI | 1700209301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FRANCO Site Coordinator 805-739-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 1760723910) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |