| NPI | 1326167651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L NOBEL Doctor's Practice 858-272-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA C34925) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: CA C34925) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |