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 |