| NPI | 1679859045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT ADAM RYAN President 760-271-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA cor3452) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |