| NPI | 1023111267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRYL ANITA YANCEY Primary Care Provider 760-466-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CA NP10256) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-07-18 |