| NPI | 1275228223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA E GONZALES Director Of Billing 619-881-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |