| NPI | 1932186913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIDA V GUEVARRA President 760-955-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A53408) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-07-14 |