| NPI | 1225593601 |
|---|---|
| Doing Business As | TRUSELF SPORTING CLUB |
| Entity Type | Organization |
| Authorized Contact | JOSH PEREZ General Manager 619-431-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QC1800X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |