| NPI | 1770874489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HOCHETTE AVERY President 805-385-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A26091) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |