NPI | 1477111805 |
---|---|
Doing Business As | LA MESA FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KIMBERLY CAYTON Billing Manager/Admin 619-464-6434 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-05-31 |
Last Update Date | 2019-05-31 |