| NPI | 1396780235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE LUSTRIA Administrator 858-309-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G48926) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G15618) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 20A8293) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A50309) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A52663) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G34053) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A69490) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G64594) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-04-02 |