| NPI | 1225404957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WEISSMAN Medical Director 760-641-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A74030) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |