| NPI | 1508196759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ERIAH SHANKAR Owner/Medical Director 760-241-3306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2011-02-23 |