| NPI | 1386089878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOMO KUROSAKA Medical Director 619-888-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A062689) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |