| NPI | 1205131513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI MARIE GONZALEZ Biller/Office Manager 760-773-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A70567) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |