| NPI | 1518691484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KNAFO Owner 619-782-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |