| NPI | 1962175836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COURIS President 619-359-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 213E00000X Podiatrist | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-07-20 |