| NPI | 1376867333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRAM ILBEIGI President/CEO 760-242-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208800000X Urology (Licence: CA 20A8878) | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-04-30 |