| NPI | 1730214602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA MORENO Office Manager 805-347-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A64620) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-01-22 |