NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1124003793 | BROWN | EDWARD | WILLIAM |   | 3860 CALLE FORTUNADA | SAN DIEGO | CA | 921234802 |
1376678250 | PARK | SUN MIN |   |   | 3860 CALLE FORTUNADA | SAN DIEGO | CA | 921234802 |
1023223252 | SCOTT | MARYLOU |   |   | 3860 CALLE FORTUNADA | SAN DIEGO | CA | 921234802 |