NPI | 1265855506 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN CONSIDINE Medical Director 619-537-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6446) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2022-10-06 |