| NPI | 1568870657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART GRAHAM Board President 858-675-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2016-01-21 |