| NPI | 1013119353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA STEMMLER Billing Manager 619-258-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A6460) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |