| NPI | 1316646359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SPEDALIERE Lead Nurse Practitioner 760-534-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |