| NPI | 1518293356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN GROVE Executive Operations Director 760-242-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: CA 20A5179) |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine (Licence: CA 12656PA) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2012-08-31 |