| NPI | 1891971404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MATA Office Manager 619-425-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G154810) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2023-01-12 |