| NPI | 1740378280 |
|---|---|
| Former Legal Business Name | DAPHNE I PANAGOTACOS MD |
| Entity Type | Organization |
| Authorized Contact | DAPHNE IRMGARD PANAGOTACOS Owner 805-379-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G66971) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |