| NPI | 1225809049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY M HARDISON Md/Owner 760-230-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-05-17 |