| NPI | 1205211851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMIN KHADIVI Executive Director 619-286-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 95002694) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |