| NPI | 1568439081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRINKMAN Executive Director 760-323-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A487212) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 13692) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 12786) | |
| 207R00000X Internal Medicine (Licence: CA G073985) | |
| 207R00000X Internal Medicine (Licence: CA C42422) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G38965) | |
| 122300000X Dentist (Licence: CA 58114) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A42138) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-02-01 |