| NPI | 1780749051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO V. NACO CEO 760-619-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A30874) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |