| NPI | 1518212737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FERRER Medical Director 760-213-3299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A112720) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2025-11-04 |