| NPI | 1962195230 |
|---|---|
| Doing Business As | LAUREL VISTA CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHEENA MORALES Management Analyst 831-796-1393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |