NPI | 1831435882 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PHILLIP FITZPATRICK President 760-729-5921 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA OPT8185TPA) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2012-12-19 |