| NPI | 1295031052 |
|---|---|
| Former Legal Business Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Entity Type | Organization |
| Authorized Contact | KAVITHA BHATIA Owner 760-241-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2022-08-23 |