| NPI | 1740655935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD B MOSS CEO 619-742-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G79340) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2026-06-30 |