| NPI | 1841746880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA L OLIVEROS Registered Nurse 619-339-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 557025) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |