NPI | 1669148813 |
---|---|
Entity Type | Organization |
Authorized Contact | USAMA ALKAZAKI Owner 619-354-4694 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 207Q00000X Family Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207V00000X Obstetrics & Gynecology | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-08-18 |
Last Update Date | 2023-04-20 |