| NPI | 1609905215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LEE FEINBERG Chief Executive Officer 858-279-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |