| NPI | 1003355348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO MARTIN Medical Director 619-471-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A100776) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A1335) |
| 207R00000X Internal Medicine (Licence: CA 20A9554) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |