| NPI | 1972328383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERRIQUEZ CHUO CEO 760-391-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-10-31 |