| NPI | 1699169037 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARLOS M GARCIA Owner 619-271-4059 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A42509) | 
| Enumeration Date | 2015-03-24 | 
| Last Update Date | 2015-03-24 |