| NPI | 1194079632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUROSH KHAMOOSHIAN Owner / CEO 858-373-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA A110901) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2024-09-05 |