| NPI | 1174824221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA A RENTERIA Office Manager 858-485-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A89731) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2015-05-04 |