NPI | 1457779043 |
---|---|
Doing Business As | ASPEN FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA 6371) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |