NPI | 1215149745 |
---|---|
Doing Business As | SUNLIFE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | A. GREGORY CARUSO Physician 760-568-4939 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-05-04 |
Last Update Date | 2012-01-09 |