| NPI | 1649681800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE FLORES Owner 619-306-4492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA AC9679) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |