| NPI | 1679712780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA ISHIHARA DANQUE Owner 619-441-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A62874) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA A62874) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2014-05-08 |