| NPI | 1538353032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PAUL STANTON President 858-578-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA g44521) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |