| NPI | 1386889889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYALAKSHMI S PRATHA Owner 619-260-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A51136) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2023-09-26 |