| NPI | 1447521687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM NISSEN President 619-326-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: CA C3335521) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |