| NPI | 1164763504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MELDEN Director 760-533-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA C3520529) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |