| NPI | 1093044794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESANEMARIE T BANKO CEO 760-843-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A104321) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2018-03-17 |