| NPI | 1326113259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT R ANDERSON Owner Physician 760-320-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A56013) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |