| NPI | 1427268747 |
|---|---|
| Doing Business As | LA MESA FAMILY MEDICAL GROUP |
| Former Legal Business Name | LA MESA PEDIATRIC MEDICAL GROUP |
| Doing Business As | LA MESA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CAYTON Billing Manager/ Admin 619-464-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-05-30 |