| NPI | 1093059776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MACCORMICK Owner 760-230-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-03-01 |