| NPI | 1295145308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD GAUSSOIN President 619-287-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA DC11585) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |