NPI | 1023141686 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG KISHABA Senior Administrative Director 619-278-3301 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2025-09-11 |