| NPI | 1992994560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T MITCHELL General Partner 805-563-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2009-07-24 |