| NPI | 1710225172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA L BILLEN Manager 619-229-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2013-01-19 |