| NPI | 1366208845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLE SABALONES President 760-220-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |