| NPI | 1760857841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY A DAVID Owner 858-658-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A81051) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-02 |