| NPI | 1376950352 |
|---|---|
| Doing Business As | FAMILY MEDICINE ASSOCIATES- BRENTWOOD |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 126988) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-01-04 |