| NPI | 1730572975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ZAKHIREH Medical Director 760-837-0364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |