| NPI | 1083898902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY RENEE RICHLEY Owner 858-208-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-08-06 |