| NPI | 1043344435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERTS Medical Director 858-587-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLIA 05D1065725) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA California CFL334843) |
| 291U00000X Clinical Medical Laboratory (Licence: CA 334843) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-02-28 |