NPI | 1417637919 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW ADEDAPO ADESIDA CEO 760-951-4811 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-23 |