| NPI | 1053670596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BOBRITCHI Office Manager 619-233-4044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA A49774) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-09 |