| NPI | 1013194323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H OWENS CEO & Cmo 619-231-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000143) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 090000143) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |