NEW ENTRA CASA CORPORATION

NPI # 

Practice Address:

3575 Pershing Ave

San Diego, CA, 92104-3413

Practice Phone:

619-294-4526

Practice Fax:

619-294-4526

License Number:

370083AN

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X