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 |