| NPI | 1891169801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C HENDRICKSON President/CEO 831831-236-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 312972) |
| Enumeration Date | 2015-11-15 |
| Last Update Date | 2015-11-15 |