| NPI | 1982923702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA TELLEZ Medical Biller 619-813-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A37539) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |