| NPI | 1457724858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LEE FEINBERG Chief Executive Officer 858-279-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |