| NPI | 1386032993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MILGRAM Owner 760-944-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A35111) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |