| NPI | 1427484658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JEAN AHMED Medical Doctor/Owner 760-955-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A51407) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |