| NPI | 1972761120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L. WHITNEY Director 858-525-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 20A7126) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2017-05-03 |