| NPI | 1376957142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE JONES Office Manager 760-729-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6683) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |