| NPI | 1851934798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LALUZERNE Vice President For Finance & CFO 619-849-2317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |