| NPI | 1154480069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY STITH Chief Administrative Officer 760-323-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-03-07 |