| NPI | 1649663881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ZAKHIREH Medical Director 760-837-0364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-10-14 |