| NPI | 1801244223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE BALLESTEROS-PEREZ Manager 760-744-1150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |