| NPI | 1396924205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA NEWMAN Administrator 760-941-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A43808) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A43808) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-03-25 |