| NPI | 1992255947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KINGSBURY Office Manager 805-461-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A44775) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-01-29 |