| NPI | 1669680559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TARANTINO Office Manager 619-462-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A41845) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-11-09 |