| NPI | 1215066717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M HO Owner, CEO 760-962-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA G73155) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-10-01 |