| NPI | 1043605777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EUGENE BURK Physician Assistant 619-325-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52242) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |