| NPI | 1003651621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CORONADO Practice Manager 619-819-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-10-02 |