| NPI | 1033577044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKAMMA REDDY Owner 760-241-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 207rooooox) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |