| NPI | 1992260954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY WINEGAR Md 619-444-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-05 |