| NPI | 1982161105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LARSON President & CEO 858-367-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2019-02-24 |