| NPI | 1194450023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MARK MILGRAM CEO 858-776-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2022-07-24 |