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 |