| NPI | 1952618811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE B WAKAM President 805-652-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C50092) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |