| NPI | 1639264419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS OLIVA Owner 760-941-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: CA A40155) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-25 |