| NPI | 1831562735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA SAUCEDO-SANCHEZ Owner 619-922-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A110058) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-19 |