| NPI | 1902518129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HUYNH Secretary 858-997-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-01-30 |