| NPI | 1518361435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA GONZALES Director Of Billing 619-881-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |