| NPI | 1730611864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE THAI Administrator 858-534-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |