| NPI | 1316244619 |
|---|---|
| Doing Business As | LA JOLLA VILLAGE FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL MICHAELS President 858-450-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G63920) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2021-05-12 |