| NPI | 1265623524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA A KRUTZIK CEO 760-344-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A70812) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-01-16 |