| NPI | 1467475806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHID MIDOU Owner 760-240-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A79778) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-05-28 |