| 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 |