| NPI | 1699906883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA WALLACE Medical Biller 619-299-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A98386) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A98386) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A98386) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2015-02-04 |