| NPI | 1730521568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROTH President 858-541-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2016-11-04 |