| NPI | 1649788472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KALIA-OVERLIE Pmhnp Bc 858-209-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-05-20 |