| NPI | 1972799187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE KLEIN Billing Manager 805-239-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G47703) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2012-03-28 |