| NPI | 1184834012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLI A CAVA Medical Director 619-221-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G84802) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-12-21 |