| NPI | 1871920090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA GALANG ROXAS Licensee/Administrator 760-859-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 374603238) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |