| NPI | 1619278801 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RENATO BRIONES MASILUNGAN Owner 619-474-8989  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A29679)  | 
| Enumeration Date | 2010-11-04 | 
| Last Update Date | 2011-01-28 |