| NPI | 1306068903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARLOS THOMPSON Physician,Owner 619-593-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G83902) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-03-07 |