| NPI | 1669746897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CAPP MATTSON President 858-454-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G32164) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |