| NPI | 1477928232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D STREBEL Member And Manager 619-804-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA OP 60604514) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |