| NPI | 1629175948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RUBEN SANCHEZ Vice President 619-656-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |