NPI | 1831631001 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA ANGELUCCI Family Physician/ President 805-591-4727 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A11012) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2016-11-04 |