| NPI | 1871695601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BARRY PORTNOY President 805-497-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G30207) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |