| NPI | 1891000113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC BAKST Owner 858-552-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A40598) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |