| NPI | 1649662719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO SANUDO CEO 760-631-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2016-02-10 |