| NPI | 1578782066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D CALLERY Owner 858-675-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G33540) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-02-08 |