| NPI | 1780003251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNELLA GOODWIN CEO 619-279-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |