| NPI | 1528533809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANKO N. HUISA-GARATE President 858-997-8529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |