| NPI | 1760722433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVEN TAGDIRI Owner 858-756-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered |
| 133V00000X Dietitian, Registered (Licence: 871851) | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-19 |