| NPI | 1366044745 |
|---|---|
| Doing Business As | SPARK HEALTH INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RICK HERNANDEZ Administrator 760-521-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |