| NPI | 1215661574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RYSER Owner 760-382-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |