| NPI | 1033546916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE GABRIEL GARZO Medical Director 858-552-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A43141) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |