| NPI | 1245280718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASUKI SUE SITTAMPALAM Owner 760-872-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A93866) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C371720) |
| 363L00000X Nurse Practitioner (Licence: CA Y201575) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-04-28 |