NPI | 1477546125 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA R OLAFSON Physician/Owner 760-944-2986 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G60923) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2020-08-22 |