| NPI | 1003902917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BULFER Executive Director 619-234-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A107921) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS23330) |
| 104100000X Social Worker (Licence: CA LCS17413) | |
| 174400000X Specialist (Licence: CA G23820A) | |
| 207R00000X Internal Medicine (Licence: CA A78887) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20936) | |
| 122300000X Dentist (Licence: CA 57514) | |
| 1223G0001X Dentist, General Practice (Licence: CA 58278) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-04-18 |