| NPI | 1942239694 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | RICHARD K WESTERDOLL Executive Director 805-983-0691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA FNP4189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA FNP4189) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-11-12 |