| NPI | 1043367162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA PENAFLOR VITUG President 619-475-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A44349) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-05-05 |