NPI | 1194809798 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRAINE MICHELLE STANCO President/Md 858-278-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G063484) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2013-03-29 |