| NPI | 1528953882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK HASSANEIN Operations 619-990-1698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-10-16 |