| NPI | 1134586456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ROLLIN WEISS President 619-933-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G31180) |
| Enumeration Date | 2016-01-17 |
| Last Update Date | 2016-01-17 |