| NPI | 1639257710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA MARIN Physician/Owner 858-514-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G053378) |
| 207Q00000X Family Medicine (Licence: CA A063890) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-03-16 |