| NPI | 1801127162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA TRUJILLO Administrator 805-522-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 050000088) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |