| NPI | 1386045615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE L SLATER Physician Owner 760-806-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |