| NPI | 1962664888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA FAMULARO Operations Manager 805-782-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A114658) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2025-09-09 |