| NPI | 1154851327 |
|---|---|
| Other Name | UPAC COMMUNITY WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARGARET IWANAGA PENROSE President And CEO 619-232-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-09-12 |