| NPI | 1174841936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN RIZKALLAH Physician/Owner 619-691-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93296) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-07-21 |