| NPI | 1730206400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M UNSWORTH Office Manager 805-371-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G42593) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G53593) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |