| NPI | 1114973914 |
|---|---|
| Former Legal Business Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Entity Type | Organization |
| Authorized Contact | KAVITHA BHATIA Owner 760-241-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-08-23 |