| NPI | 1730474537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE PASAMONTE Supervisor 858-573-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: CA 719244) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |