| NPI | 1154614030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBINSON R LANGILLE Owner/Vice President 619-713-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |