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 |