| NPI | 1316122161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEROY GERTSCH Medical Director 858-974-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 080000458) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |