| NPI | 1831346352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR HEREDIA-MARTINEZ Provider 619-420-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |