| NPI | 1407134521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ROBERT PAUL President 619-222-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 00A196470) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |