NPI | 1669562765 |
---|---|
Doing Business As | LA COSTA URGENT CARE AND FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | GREGORY LANCE WAKEMAN Chief Executive Officer 760-603-3221 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6797) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-10-30 |