| NPI | 1205347762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA TRIPP Administrator 760-983-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A139969) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A139969) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-03-30 |