| NPI | 1376301192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NEFF Managing Director 760-900-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-07-30 |