| NPI | 1013373638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA OHANIAN Pharmacist 619-607-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA PHY42635) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |