NPI | 1285976787 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB N FLORES Physician 760-754-5663 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A60865) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2024-01-09 |