| 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 |