| NPI | 1073978508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK DOWNING Administrator 760-466-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 95003512) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |