| NPI | 1841675386 |
|---|---|
| Doing Business As | AMBULATORY CARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RONALD LEROY GERTSCH Medical Director 858-715-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA C35744) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A35980) |
| 174400000X Specialist (Licence: CA A67078) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |