| NPI | 1174577613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURORA L BENSON President 760-340-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A4564) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A5361) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |