| NPI | 1346440500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY AHMED Owner 760-956-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A51407) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A51617) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |