| NPI | 1073704524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS BORRERO President 619-423-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A38907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A42177) |
| 207Q00000X Family Medicine (Licence: CA A34221) | |
| 363A00000X Physician Assistant (Licence: CA PA13315) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |