| NPI | 1588035968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MOORE Physician 619-995-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: VA G56323) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2024-03-04 |