NPI | 1437800836 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY LUNA Office Manager 760-523-0944 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2022-01-17 |
Last Update Date | 2022-01-17 |