| NPI | 1891292850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SEVERNS Office Admin 805-484-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A97189) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |