| NPI | 1750568358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA THOMPSON Administrator 805-482-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A22797) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A22797) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-02-27 |