| NPI | 1750547550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA M LYNCH Medical Director 805-548-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11056) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-04-09 |