| NPI | 1437315025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WATSON President 858-792-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A6025) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A6025) |
| 208000000X Pediatrics (Licence: CA 20A6025) | |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2008-08-27 |