| NPI | 1992096630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA SUSANA GRINDLE Secretary/Treasurer 858-335-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-10-31 |