| NPI | 1992395578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL KHOSLA Chief Administrative Officer 805-635-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |