| NPI | 1841592623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE GABRIEL GARZO Medical Director 858-552-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: N/A) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |