| 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 |