| NPI | 1023161635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN THOMAS CEO Physician 760-946-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6876) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |