| NPI | 1699198788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SMITH President 760-203-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA G65407) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |