| NPI | 1063839363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY KUNARD Owner 858-481-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA DC-31308) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |