| NPI | 1417097973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLE L ANNANDONO Physician Assistant Certified 619-532-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |