| NPI | 1528023306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY ANDERSON MONAHAN Secretary Treasurer 619-427-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA FNP 4774) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |