| NPI | 1720140288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN BRAGG Director 805-756-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA RN 348161) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-07-16 |