| NPI | 1043508559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH MALHOTRA Owner 760-810-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A91216) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A91216) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2018-08-06 |