| NPI | 1336170091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E FAUSEL President 760-779-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A5111) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-04-17 |