| NPI | 1780227694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA GRAHAM Office Manager 858-204-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-07-16 |