| NPI | 1962663393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A GLASS Office Manager 760-247-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A46329) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |