| NPI | 1396638334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MARK MILGRAM Doctor/President 760-710-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |