| NPI | 1366167199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD O BROWNE Authorized Official 760-440-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |