| NPI | 1659864247 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL DENNIS PRICE Director, Revenue Cycle & Operation 858-249-6752  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health | 
| Enumeration Date | 2018-06-08 | 
| Last Update Date | 2025-10-06 |