| NPI | 1972135564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA LYDIA CANTU Clinical Biller 805-682-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |