| NPI | 1386072163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLYN LEVINE Incorporator 858-663-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA g86297) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2016-05-31 |