| NPI | 1316074073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MENDOZA CEO 760-351-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 255734) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |