| NPI | 1942616255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MALCHOW President 619-246-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 14982) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |