| NPI | 1538463153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN PORTER Office Manager 858-453-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA B2005004775) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |