| NPI | 1346318821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT SOLOMON Owner President 760-416-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G81467) |
| Additional Taxonomies | 208D00000X General Practice (Licence: LA MD10726R) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |