NPI | 1396145439 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN MICHAEL KRYSTAL Chief Executive Officer 619-507-4857 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA G74558) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2014-11-07 |