| NPI | 1073633004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE MENDEZ President 760-436-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G54683) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2012-10-05 |