| NPI | 1679160931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICAR GAGUCAS General Manager 619-518-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2023-10-10 |