| NPI | 1922091487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA J. DAUGHERTY Office Manager 805-349-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G074101) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2008-11-03 |