| NPI | 1558742460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KEITH Billing Manager 760-943-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA 95002253) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2018-07-20 |