| NPI | 1154839561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P DIZON CEO/President 760-256-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A15716) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-03-17 |