| NPI | 1093908675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOHN GODINHO Pharmacist In Charge 858-534-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA PHE 35957) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |