| NPI | 1164584264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA B MANORE Financial Administrator 760-741-9318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C36411) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-02-06 |