| NPI | 1790962199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WENCESLAO Contracts & Credentialing 858-810-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-02-08 |