| NPI | 1962213041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MATTSON President/CEO 619-662-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |