| NPI | 1174706345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLI A. CAVA Medical Director 619-426-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G98162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G98162) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-04-21 |