| NPI | 1467418038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURPAL S PHAGUDA Md Owner 760-949-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine (Licence: CA G71819) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2021-10-21 |