| NPI | 1467519470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DOVENBARGER Administrator 760-631-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: A41008) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-12-01 |