| NPI | 1568762540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. GREEN Medical Director 858-262-6666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2018-07-24 |