NPI | 1780861443 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN D. BRANTNER President 805-653-6765 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G027037) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2011-07-14 |