| NPI | 1588157416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUVILUSAN SALAZAR Owner 760-241-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A056175) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |