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 |