| NPI | 1992044036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA KASIRI Owner 858-552-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 36309) |
| Enumeration Date | 2013-02-09 |
| Last Update Date | 2013-02-09 |