| NPI | 1538590849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE HECTOR VEGA Chief 760-393-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA g43148) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2014-10-03 |