| NPI | 1508183765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASUKO KIDOKORO Md 858-277-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A032727) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2019-04-11 |