| NPI | 1558459180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY JALAL SADRIEH President And Officer 858-268-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A46462) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-02-25 |