| NPI | 1326114828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRUCE LEVIN Physician President CEO Corporation 760-822-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G29331) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |