| NPI | 1851493761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J HALPERN Owner 831-425-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A22837) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A65310) |
| 207Q00000X Family Medicine (Licence: CA 20A8853) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A88228) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-09-04 |