| NPI | 1538693866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RANDALL DAVIS Owner/CEO 760-727-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246X00000X Specialist/Technologist Cardiovascular |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-01-16 |