| NPI | 1760655534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED T BAILONY Owner 619-475-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |