NPI | 1003385071 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DENNIS PRICE Director, Revenue & Operations 858-249-6752 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |