| NPI | 1326023011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WILLIAM JOHNSON Physician 760-830-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A74423) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |