| NPI | 1851265649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GARCIA Agent 805-760-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-06 |