| NPI | 1386168193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LEE FEINBERG CEO 858-279-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |