| NPI | 1538629407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R. PILPA Medical Director 760-381-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |