| NPI | 1124602933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA SCOTT Credentialing Executive 858-329-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-06-08 |