| NPI | 1073394748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIO P GONZALES President/Owner 619-259-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-01-14 |