| NPI | 1528560802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SCHOENFELD Billing Manager 760-205-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A125693) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |