| NPI | 1497982193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY K PEARSON President/Owner 760-591-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A45444) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2012-07-18 |