| NPI | 1144653528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J MACCORMICK President 760-230-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C38688) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |