NPI | 1548944093 |
---|---|
Doing Business As | PROSPECT MEDICAL GROUP - SAN DIEGO |
Entity Type | Organization |
Authorized Contact | ROBERT ELDERS Secretary 714-788-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2023-06-14 |
Last Update Date | 2024-04-01 |