| NPI | 1306386073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE GENICOT District Manager 858-647-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 52947) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |