| NPI | 1720183569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA FAMULARO Operations Manager 805-782-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA23186) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A63687) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-09-09 |