| NPI | 1528120250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE STEWART TRUE C.E.O. 619-460-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G36980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G62330) |
| 207Q00000X Family Medicine (Licence: CA G73372) | |
| 207Q00000X Family Medicine (Licence: CA G71174) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A73439) | |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2020-08-22 |