| NPI | 1366964488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHSHID MICHELLE HAMIDI President 619-443-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A63702) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |