| NPI | 1619154689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA SOFIA BOLANDGRAY President 619-937-6349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A72176) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |