| NPI | 1891195210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ENRIQUEZ President 805-394-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G49327) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |