| NPI | 1801925367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KYAW Medical Director 760-251-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA a44805) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |