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 |