| NPI | 1578594214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON WAYNE THOMAS President 760-321-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 00A88112) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA 00A88112) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-06-26 |