| NPI | 1851509392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CARMEN PONZIO Medical Doctor 831-675-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G48377) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-12-07 |