| NPI | 1356150551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FOX Director Of Patient Services 619-228-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |