| NPI | 1528953882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE RAMIREZ Operations 619-581-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-19 |