| NPI | 1336579481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA AMANDA MARSHALL Billing Manager 619-461-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120494) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |