| NPI | 1811273576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B GOODMAN CEO/Medical Director 805-543-4043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G51256) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |