| NPI | 1871062927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DENNIS PRICE Director, Revenue & Operations 858-249-6752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |