| NPI | 1609211648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIN MOOTE Office Manager 858-444-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 104552) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA CA30803) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A96446) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A104552) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |