| NPI | 1194079632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUROSH KHAMOOSHIAN Owner / CEO 858-603-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA A110901) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA A110901) |
| 310400000X Assisted Living Facility (Licence: CA A110901) | |
| 314000000X Skilled Nursing Facility (Licence: CA A110901) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |