| NPI | 1083002257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN President/Practitioner 760-242-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A6319) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2019-07-25 |