NPI | 1447086814 |
---|---|
Entity Type | Organization |
Authorized Contact | NELLY PADFIELD Vice President 760-508-6698 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2024-09-11 |
Last Update Date | 2024-10-25 |