| NPI | 1760463103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M DILL Owner 619-435-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C21783) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2022-07-21 |