| NPI | 1942543079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY S. LIU Owner 858-467-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 41461) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |