| NPI | 1346961968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA KHAN CEO 760-641-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |