| NPI | 1720827645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY FOBEL Owner 805-795-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-07-29 |