| NPI | 1942895065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USAMA ALKAZAKI Owner 619-354-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-04-13 |