| NPI | 1073939591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONIFFACIO C ESPERANZA Director 858-500-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A35268) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |