| NPI | 1518364165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANINE DOLPHIN Billing & Collections Manager 760-477-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2023-09-08 |