| NPI | 1891836615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CUDE Vice President 805-247-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA G37804) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |