| NPI | 1093262255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN HAROLD LIZERBRAM President 858-337-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G17688) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |